ESPN 50th Annual Meeting

ESPN 2017


 
Successfully implementing transition by addressing common misconceptions and use of the ‘Ready Steady Go’ transition programme
LUCY EVERITT 1 MATTHEW HARMER 1 ANNE-SOPHIE DARLINGTON 2 ARVIND NAGRA 1

1- SOUTHAMPTON CHILDRENS HOSPITAL
2- FACULTY OF HEALTH SCIENCES, UNIVERSITY OF SOUTHAMPTON
 
Introduction:

Aim: To evaluate the impact of an educational session on transition and the ‘Ready Steady Go’ (RSG) transition programme in overcoming common misconceptions about delivering effective transition.  Background: Transition is defined as the purposeful, planned movement of adolescents from child-centred to adult-orientated healthcare systems. Despite the importance of good transition being recognised, delivery is often fragmented, with many young people (YP) feeling unprepared.  This failure has a major impact on long-term outcomes.  Interpretation of the definition of transition by many Healthcare Professionals (HCPs) and misconceptions about implementation have delayed the provision of effective transition.  An educational package expanding on the definition of transition to include ‘empowering the YP by equipping them with the skills and knowledge necessary to manage their own healthcare in paediatric and adult services’ and provision of the RSG programme helps enable delivery of transition.

Material and methods:

Multi-professional 40 minute RSG transition educational sessions were delivered over 2 years in 21 centres. Sessions expanded upon the definition of transition, addressed common misconceptions (need for an adult physician, need for specialist clinics, age YP starts transition) and introduced RSG to demonstrate the incorporation of transition into routine clinical practice.  Audience response tools polled HCPs perception and understanding of transition at the start and end of these sessions.  RSG uptake was subsequently recorded. 

Results:

Results from 642 responders during 21 sessions demonstrated a difference pre and post session: Need for an adult physician identified before starting transition 71% versus 11%; Need for specialist clinic 35% versus 14%; Start of transition: 34% start at 14years+, (23% at 16years+) versus, 95% starting at 11-12 years. Post-education RSG has been widely adopted across sub-specialities, including paediatric nephrology, throughout the UK.

Conclusions:

Expanding the definition of transition and use of the RSG programme overcomes common misconceptions and enables the successful implementation of transition.